This is a 26-year-old male patient who competed in body building. Use of anabolic steroids assisted him with muscle bulking but led to changes in the breast parenchyma as seen in the before picture. He required excision through a small incision underneath the areola which is barely visible at three months after surgery.

A 28-year-old male patient had breast hypertrophy for many years, induced by intake of medication prescribed for his health condition. After long-standing hypertrophy stopping the medication did not reverse the growth and he required removal of the hypertrophied part of his breasts surgically.